Hospital Birth Class Registration Form
Hello! I look forward to having you in class. Classes are taught in American Fork, UT on Tuesday evenings at 7pm. Please complete this registration form and I will be in touch with you shortly to confirm your registration and to give you all of the details. Thank you!
Preferred Method of Contact
Estimated Due Date
Number of children
Where are you planning to have your baby?
Who is your care provider?
How do you feel about childbirth classes? What do you hope to learn?
How does your partner feel about taking a childbirth class?
Anything else you'd like me to know?
Which class dates would you like to register for?
April 2nd - May 17th
May 21st - July 2nd
July 9th - Aug. 20th
Sept. 3rd - Oct. 15th
Nov. 5th - Dec. 10th
How did you hear about this class?
Referred by a friend/ family member
Referred by my midwife/ OB
Referred by my doula
Birth Boot Camp website
Utah Doula Association
Utah Birth Forum
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